Active NPI
Amanda Hody, PHARMD, RPH
- Pharmacist
- Elyria, OH
National Provider Identifier
1851859490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439571
- Practice address
- 1000 Chestnut Commons Dr
Elyria, OH 44035-9602 - Phone
- (440) 366-0125
- NPI assigned
- Mar 2, 2019
- Last updated
- Jun 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR46148 | ME | |
| Pharmacist | 183500000X | 03439571 | OH | Primary |
Addresses
Primary practice location
1000 Chestnut Commons Dr
Elyria, OH 44035-9602
Mailing address
1148 Keenan CT
Grafton, OH 44044-1355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR46148 | ME | MD | Pharmacist |
| 03439571 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS State Capital LLC | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| CVS State Capital, L.L.C. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-4255
- Community/Retail Pharmacy
- Elyria, OH
- NPI 1548394893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1851859490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 KEENAN CT",
"city": "GRAFTON",
"state": "OH",
"postal_code": "440441355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CHESTNUT COMMONS DR",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440359602",
"telephone_number": "440-366-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODY",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-02",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR46148",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.